Vagina is bumpy and wrinkly on the inside and outside - advice? (photos)

Your labia can be corrected with surgery. In this way, you can achieve a very good image. Since your clitoral hood is smooth, there is no need to touch your clitoral hood area.

You have normal anatomy and my advice would be to leave it like it is. Some people have small bumps on their vulva and around the labia. These bumps are called "papillomatosis", and they are not harmful.
Vulvar papillomatosis is not a disease. It requires no medical treatment and is not contagious. Many women have this anatomy, and I commiserate: many women are disturbed by it, even though it is not rare. While certainly you could have a laser resufacing of the skin of the area, the odds of it looking wierd and blotched with resurfacing are equal or greater than it looking "better." Some women find the application of OTC benzoyl peroxide helpful. You could have, via a labia majoraplasty, removal of a large portion of the "bumpy" epithelium, which would minimize the area of tubercles over the majora, but not remove them entirely; there still would be a junction between smoother and bumpy skin.

Best,

Michael P Goodman, MD, FACOG, IF, AAACS